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1275034472
TYLER JEROME REDMOND
PLACERVILLE, CA
NPI
1275034472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-22
Last Update Date
2023-06-02
Business Address
TYLER JEROME REDMOND
670 PLACERVILLE DR
PLACERVILLE, CA 95667-4200
Phone number: 530-644-2412
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Mailing Address
TYLER JEROME REDMOND
670 PLACERVILLE DR
PLACERVILLE, CA 95667-4200
Phone number: 530-644-2412
Copy
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